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Stand at Your Desk! Then Sit Down Everywhere Else?

Evidence on Standing Desk Benefits Doesn’t Sit Well With Researchers

Laying-on-your-desk

Apparently, it’s hard to come by solid research confirming that the new trend in desks actually decreases time spent sitting.

A newly released Cochrane review of studies on the effects of interventions aimed at reducing sitting time for office workers asserts that most evidence to date is of “low to very low quality.” Or, “just cuz you stand at work doesn’t mean your sitting less overall.”

Authors also found low-quality evidence about effects of the sit-stand desks on musculoskeletal symptoms, workplace performance, reduction in sick days, or increase in any form of moderate-to-vigorous intensity physical activities.

Read more at the APTA web site: http://www.apta.org/PTinMotion/News/2015/1/28/StandingDeskResearch/

(APTA members can access the full text via the Cochrane Database of Systematic Reviews in PTNow ArticleSearch. Nonmembers can access the abstract only for free via PubMed.)
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Most MS Patients Who Received Stem Cell Transplants Still in Remission Years Later

StemCell

Hope for MS sufferers.

A phase 2 study of 24 volunteers has demonstrated impressive results by rebuilding the immune system using a patient’s own stem cells. Researchers found that more than 86 percent of the patients remained relapse free after three years, and nearly 91 percent showed no sign of disease progression.

Most of the multiple sclerosis (MS) patients who took part in the cutting-edge stem cell study HALT-MS are still in remission years later. The phase 2 study has demonstrated impressive results by rebuilding the immune system using a patient’s own stem cells.

Studying the volunteers who underwent stem cell transplants between 2006 and 2010, Dr. Richard A. Nash of the Colorado Blood Cancer Institute in Denver and his colleagues recently published their findings about the cutting-edge stem cell study HALT-MS.

Building a New Immune System, from the Ground Up

The goal was to reboot the patients’ immune systems. The researchers gauged success based on how long the patients remained relapse-free.

Patients were given high-dose immunosuppressive therapy, or HDIT, to erase their native immune system. Then, researchers reintroduced blood-forming stem cells that had been harvested from the patients’ own blood.

The treatment lasts about 21 days and the patients had to stay in close contact after their release. The chemo used to suppress their immune system has disadvantages, but researchers are encouraged by the success. Things are looking up for MS sufferers!

Read the entire article and links to the research here.

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Running Shoe Myths

Gimmicks aside, we can help our patients run faster and prevent injury, there’s just not a magical cure-all shoe to help do it. We would recommend plyometrics drills like box jumps, and spending more time in the weight room to become a stronger and more injury-free runner.

Myth #1: Running Shoes Prevent Injury

Myth #2: You Need to Shop for Your Foot Type

Myth #3: Energy Return Makes You Faster

RunningShoes

Myth #1: Running Shoes Prevent Injury

Never has any research been able to indicate that a shoe can prevent injury. Shoe companies will throw their tech jargon at you about their shoes “aiding this” or “preventing that.” Sorry, simply not true.

Myth #2: You Need to Shop for Your Foot Type

You have been marketed at to believe overpronators need motion control, people with high arches need more cushion, and neutral runners should be in a more neutral shoe. Again, just marketing from people selling you their shoes. Actually the whole arch support idea has been disproven.

Myth #3: Energy Return Makes You Faster

I think the original article has it stated best, “No shoe, unless it has an engine in it, will ever return energy to the runner.” No material in this world at this time returns any energy back to your stride.

Read more at: http://www.medbridgeeducation.com/h/clinical-pearl-jay-dicharry-top-3-myths-in-running-shoes-fb

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10 Ways to Increase Insulin Sensitivity for Better Fat Loss

workout-beach

If you impair your body’s ability to efficiently store glucose, and you’ll be fighting an uphill battle against fat loss. You see, insulin sensitivity and glucose metabolism are directly correlated to your body composition. So with that being said, here are 10 ways you can increase insulin sensitivity and make it easier to change your body composition for the better. Here’s to a better, fitter you in 2015.

  1. Eat Low-Glycemic Carbohydrates
  2. Make Exercise Part of Your Lifestyle
  3. Drink Green Tea
  4. Eat Your Omega 3 Fatty Acids
  5. Increase Your Fiber Intake
  6. Avoid Trans Fat
  7. Cinnamon (Yup, cinnamon)
  8. Limit Fructose Consumption
  9. Avoid Fast Food (duh!)
  10. Get Your Vitamin E

To read the specifics and details of each suggestion click here to visit coachcalorie.com.

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America: A Nation of Couch Potatoes

potato

In a new study, published in Mayo Clinic Proceedings, researchers found that the average person is getting less than two minutes of activity per day.That’s right. 2 minutes.

From the blog Live Better at EXOS (http://www.coreperformance.com) comes some grotesque numbers about how inactive Americans actually are.

Data was captured from 2,600 people to see how much they actually did during a day. The result. Ugh.

Obese women averaged 11 seconds of vigorous activity daily, while normal weight men and women — less than two minutes a day.

Read more here at coreperformance.com.

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Bionic Eyes & the Top 10 Medical Breakthroughs of 2014

eyeballHere are 10 breakthroughs set to reshape healthcare in the coming year. The Cleveland Clinic asked 100 of its top experts — people who focus on patient care very day — to offer insight these are their answers, the top 10 innovations for 2014:

10. Targeted therapy for cancer
9. Heart risk through the gut
8. Personal sedation station
7. Hope for acute heart failure
6. Fecal transplant restores balance
5. Decision support for smarter surgery
4. Breakthrough for hepatitis C
3. Device disrupts seizures
2. Genomic tests for managing cancer
1. The bionic eye becomes reality

Some of these items are more interesting than others. You may not care about fecal transplants, but who doesn’t want a bionic eye? Click here to read more.

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Could this be the Diabetes fix we need?

A new diabetes cure?

There is a bright glimmer of hope in the awful world of diabetes. Funding has been secured for a clinical trial of a drug that not only prevents mice from getting type I diabetes, but actually reverses the condition if it has already taken hold.

The drug in question, Verapamil, is already used to treat hypertension, irregular heartbeats and some sorts of headaches for over 30 years.

Dr. Anath Shalev of the University of Alabama discovered that Verapamil lowers the level of the protein TXNIP in pancreatic beta cells. Shalev began to suspect TXNIP suppression might be the key to fighting diabetes, and subsequent tests in ratsmice and islets isolated from humans have lent weight to her theory.

pills“We have previously shown that verapamil can prevent diabetes and even reverse the disease in mouse models and reduce TXNIP in human islet beta cells, suggesting that it may have beneficial effects in humans as well,” Shalev said, announcing plans for the clinical trials.

These trials should move quickly since the drug has been on the market already for so long and although it has adverse side-effects, most are way less severe than the issues diabetes itself produces.

Read more about how this discovery may just change Diabetes forever, click here.

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Acetaminophen does NOT effect recovery time in Low Back Pain

Or should that be a question: Acetaminophen does NOT effect recovery time in Low Back Pain?

photo of acetaminophenDespite being recommended by more than 15 different Clinical Practice Guidelines (CPGs) for Low Back Pain (LBP) Since 1987, it seems as if maybe Tylenol doesn’t help recovery time.

A large and compelling recent study titled “Efficacy of paracetamol for acute low-back pain: a double blind, randomized controlled trial” recently evaluated the role of paracetamol (acetaminophen) in managing acute LBP.

It found there were NO statistically significant differences between the placebo group or either of the acetaminophen groups for recovery time, adherence to tablet usage, and adverse events.

For all the juicy details read “Tylenol does NOT effect recovery time in Low Back Pain (LBP) OR stated another way… Why Clinical Practice Guidelines are ”developing” tools that should be viewed with healthy critical skepticism” OZPT.com.

 

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Get out there and get moving!

Fit couple works out on the beach in Kauai, hawaii

I don’t have time to workout. I make it.

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Kauai Marathon Starting Line Video

It is so nice to see so many runners show up and participate in this year’s Kauai Marathon.

Here is a fun video of the start of the race. Hopefully you will be as inspired as we were to get up and get moving!

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